Menorah Park Notice of Privacy Practices

This Notice describes how medical information regarding you may be used and disclosed, and how you can obtain access to this information. Please review this Notice carefully. 

YOUR RIGHTS:

When it comes to your health information, you have certain rights. This section explains your rights and some of our responsibilities to help you. 

Obtain an Electronic or Paper Copy of Your Medical Record 

• You can ask to see or obtain an electronic or paper copy of your medical record and other health information that we have regarding you. You may ask us how to do this. 
• We will provide a copy or a summary of your health information, usually within 30 days of your request. We may charge a reasonable, cost-based fee for this copy. 

Ask Us to Amend Your Medical Record 

• You can ask us to amend your health information regarding what you think is incorrect or incomplete. Ask us how to do this. 
• We may say, “No,” to your request, but we will tell you why, in writing, within 60 days of your request. 

Request Confidential Communications 

• You can ask us to contact you in a specific way (for example, via home or office phone) or to send your mail to a different address. 
• We will say, “Yes,” to all reasonable requests. 

Ask Us to Limit What Information We Use or Share 

• You can ask us not to use or share certain health information for treatment, payment, or our operations.We are not required to agree to your request, and we may say, “No,” if it would affect your care. 
• If you pay for a service or healthcare item out-of-pocket in full, you can ask us not to share that information for the purpose of payment or our operations with your health insurer. We will say, “Yes,” unless a law requires us to share that information.

Get a List of Those with Whom We’ve Shared Information 

• You can ask for a list (an accounting) of the times that we have shared your health information for a period of six (6) years prior to the date you ask, who we shared it with, and why. 
• We will include all the disclosures, except for those regarding treatment, payment, healthcare operations, and certain other disclosures (such as any that you asked us to make). We will provide one such accounting a year, for free, but will charge a reasonable, cost- based fee if you ask for another accounting within 12 months. 

Get a Copy of This Privacy Notice 

• You can ask for a paper copy of this Notice at any time, even if you have agreed to receive this Notice electronically. We will promptly provide you with a paper copy. 

Choose Someone to Act for You 

• If you have given someone medical Power-of-Attorney for you, or if someone is your legal guardian, that person can exercise your rights and make choices regarding your health information. 
• We will make sure that such person has this authority and can act for you, before we take any action. 

File a Complaint, if You Feel Your Rights are Violated 

• If you feel we have violated your rights, you can file a complaint by contacting us and using the information provided on the back page of this Notice. 
• You can file a complaint with the U. S. Department of Health and Human Services, Office for Civil Rights, by sending a letter to: 200 Independence Avenue, S.W., Washington, D. C. 20201; by calling l-(877)-696-6775; or by visiting www.hhs.gov/ocr/privacy/hipaa/complaints/. 
• We will not retaliate against you for filing a complaint. 

YOUR CHOICES:

For certain health information, you can tell us your choices regarding what we share. If you have a clear preference for how we share your health information in the situations described below, please talk to us. Tell us what you want us to do, and we will follow your instructions. 

In These Cases, You Have Both the Right and the Choice to Tell Us To: 

• Share information with your family, close friends, or others involved in your care. 
• Share information in a disaster-relief situation. 
• Include your information in a hospital directory. 

If you are not able to tell us your preference; for example, if you are unconscious, we may go ahead and share your information, if we believe it is in your best interest. We may also share your information, when needed, to lessen a serious and imminent threat to health or safety. 

In These Cases, We Never Share Your Information, Unless You Give Us Written Permission 

• Marketing purposes. 
• Sale of your information. 
• Most sharing of psychotherapy notes. 

In the Case of Fund-Raising 

• We may contact you for fund-raising efforts, but you can tell us not to contact you again. 

OUR USES AND DISCLOSURES:

How do we typically use or share your health information? We typically use or share your health information in the following ways: 

Treat You 

• We can use your health information and share it with other professionals who are treating you.Example:If a doctor who is treating you for an injury, asks another doctor about your overall health condition. 

Run Our Organization

We can use and share your health information to run our practice, improve your care, and contact you, when necessary.Example:We use health information regarding you to manage your treatment and services. 

Health Information Exchanges

We participate in one or more Health Information Exchanges. Your healthcare providers can use this electronic network to securely provide access to your health records for a better picture of your health needs. We and other healthcare providers may allow access to your health information through the Health Information Exchange for treatment, payment or other healthcare operations. This is a voluntary agreement. You may opt-out at any time by notifying the Privacy Officer at 216-896-0296. 

Resident/Client Directory

Menorah Park may compile a directory of residents that includes name, location and room telephone number if applicable. This information may be disclosed to any person who asks for a patient by name. You may request to have your information excluded from this directory at any time. 

Bill for Your Services 

• We can use and share your health information to bill and get payment from health plans or other entities. Example: We give information regarding you to your health insurance plan, so it will pay for your services. 

How else can we use or share your health information?

We are allowed or required to share your health information in other ways - usually in ways that contribute to the public good, such as public health and research. We have to meet many conditions in the law before we can share your health information for these purposes. For more information, please see: www.hhs.gov/ocr/privacv/hippa/understanding/consumers/index.html. 

Help with Public Health and Safety Issues

We can share health information regarding you for certain situations, such as: 

• Preventing disease 
• Helping with product recalls 
• Reporting adverse reactions to medications 
• Reporting suspected abuse, neglect, or domestic violence 
• Preventing or reducing a serious threat to anyone’s health or safety. 

Do Research

We can use or share your health information for health research. 

Comply with the Law

We will share health information regarding you if state or federal laws require it, including with the Department of Health and Human Services, if it wants to see that we are complying with federal privacy law. 

Respond to Organ- and Tissue-Donation Requests

We can share health information regarding you with organ-procurement organizations. 

Work with a Medical Examiner or Funeral Director

We can share health information with a Coroner, Medical Examiner, or Funeral Director, when an individual dies. 

Address Workers’ Compensation, Law Enforcement and Other Government Requests 

• We can use or share health information regarding you: 
• For Workers’ Compensation claims 
• For law-enforcement purposes or with a law-enforcement official 
• With health-oversight agencies for activities authorized by law 
• For special government functions, such as military, national security, and Presidential protective services. 

Respond to Lawsuits and Legal Actions

We can share health information regarding you in response to a court or administrative order, or in response to a subpoena. 

OUR RESPONSIBILITIES: 

• We are required by law to maintain the privacy and security of your Protected Health Information. 
• We will let you know promptly if a breach occurs that may have compromised the privacy or security of your information. 
• We must follow the duties and privacy practices described in this Notice and give you a copy of this Notice. 
• We will not use or share your information, other than as described herein, unless you tell us, in writing, that we can. If you tell us we can, you may change your mind at any time. Please let us know, in writing, if you do change your mind. For more information, please see: www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/noticepp.html 

Changes to the Terms of This Notice

We can change the terms of this notice, and the changes will apply to all information we have about you. The new notice will be available upon request, in our office, and on our website.

This Notice of Privacy Practices applies to the following organizations:

Menorah Park Residences 

• Menorah Park and Montefiore of Menorah Park Long-Term Care Residences
• Willensky Memory Care Residence
• Stone Gardens Assisted Living Residence
• Helen’s Place Memory Care Residence
• The Weils Assisted Living Residence
• The David Freda Robinson Residence
• Wiggins Place Assisted Living Residence
• R.H. Myers Apartments 

Menorah Park Community Services 

• Menorah Park, Montefiore of Menorah Park, and The Weils Post-hospital Rehab
• Menorah Park Outpatient Therapy Services
• The Peter B. Lewis Aquatic & Therapy Center
• Menorah Park Home Health Services (Beachwood, Akron, Canton)
• Mandel Adult Day Center 
• Vinney Hospice and Palliative Care (now incorporating Menorah Park in-house Hospice)
• Maltz Hospice House
• Menorah Park Center 4 Brain Health®

Contact Us

Menorah Park, 27100 Cedar Road, Beachwood, Ohio 44122 

Rick Martin, IT Director
HIPAA Security and Privacy

rmartin@menorahpark.org

Telephone: 216-896-0296

Effective Date of Notice: April 2016, Revision 4.6.2023